Deep tissue massage and nonsteroidal anti-inflammatory drugs for low back pain: a prospective randomized trial

ScientificWorldJournal. 2014 Feb 23;2014:287597. doi: 10.1155/2014/287597. eCollection 2014.

Abstract

Objective: To investigate whether chronic low back pain therapy with deep tissue massage (DTM) gives similar results to combined therapy consisting of DTM and non-steroid anti-inflammatory drugs (NSAID).

Design: Prospective controlled randomized single blinded trial.

Settings: Ambulatory care of rehabilitation.

Participants: 59 patients, age 51.8 ± 9.0 years, with chronic low back pain. Interventions. 2 weeks of DTM in the treatment group (TG) versus 2 weeks of DTM combined with NSAID in the control group (CG).

Main outcome measures: Visual analogue scale, Oswestry disability index (ODI), and Roland-Morris questionnaire (RM).

Results: In both the TG and the CG, a significant pain reduction and function improvement were observed. VAS decreased from 58.3 ± 18.2 to 42.2 ± 21.1 (TG) and from 51.8 ± 18.8 to 30.6 ± 21.9 (CG). RM value decreased from 9.8 ± 5.1 to 6.4 ± 4.4 (TG), and from 9.3 ± 5.5 to 6.1 ± 4.6 (CG). ODI value decreased from 29.2 ± 17.3 to 21.4 ± 15.1 (TG) and from 21.4 ± 9.4 to 16.6 ± 9.4 (CG). All pre-post-treatment differences were significant; however, there was no significant difference between the TG and the CG.

Conclusion: DTM had a positive effect on reducing pain in patients with chronic low back pain. Concurrent use of DTM and NSAID contributed to low back pain reduction in a similar degree that the DTM did.

Publication types

  • Review

MeSH terms

  • Adult
  • Anti-Inflammatory Agents, Non-Steroidal / administration & dosage*
  • Combined Modality Therapy / methods
  • Female
  • Humans
  • Low Back Pain / diagnosis*
  • Low Back Pain / therapy*
  • Male
  • Massage / methods*
  • Middle Aged
  • Pain Measurement / drug effects
  • Pain Measurement / methods*
  • Prospective Studies
  • Single-Blind Method
  • Treatment Outcome

Substances

  • Anti-Inflammatory Agents, Non-Steroidal